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KMID : 0361419970210020444
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Journal of Korean Academy of Rehabilitation Medicine
1997 Volume.21 No. 2 p.444 ~ p.448
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Stress Fracture of Talus as a Complication of Phenol Block -A case report-
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Abstract
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Motor point block with phenol solution has the advantage of technical ease, bedside performance, and repetition as necessary in reducing spasticity. To our knowledge, however, complicating stress fracture that occur during the course of treatment
after
motor point block has not been described. We report the occurance of stress fracture of the head of right talus after motor point block with phenol solution. A 17-year-old boy had a gait disturbance due to excessive plantar flexion and inversion
of
right ankle by spasticity. Percutaneous motor point block to right tibialis posterior and right gastrocnemius was done with 7% aqueous phenol solution, Just after the block, he began to bear his weight on right heel and physical therapy including
gait
training was started. He complained of right ankle pain a week after resumption of weight-bearing while walking. Bone scan and magnetic resonance imaging of right ankle revealed stress fracture of talus of right foot. This case illustrated that
physiatrists involved in the management of such patients should be aware that secondary stress fractures can occur.
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